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在抗生素前时代,柯-陆(Caldwell-Luc)手术的目的是建立上颌窦的永久性通气和引流,在处理上颌窦病变上早已成为标准径路, 也是达到翼颌间隙、眼眶、筛迷路和内份前颅窝底等部位的手术途径。近年来,随着内窥镜鼻窦手术的发展,柯-陆手术的经典方式已有了很大改变,目前已无必要为切除上颌窦息肉或囊肿、采取活体组织、建立足够引流而进行柯-陆手术;然而这一手术仍未失去其活力,还是耳鼻喉科医生的重要手段。当前,柯-陆手术的适应症是处理一些需要广泛暴露上颌窦腔的病变,如:①Grave病恶性突眼的眼眶减压,减少因眼外肌肿胀所致的眶内容增多,凡患者有视
In the pre-antibiotic era, the purpose of Caldwell-Luc surgery was to establish permanent ventilation and drainage of the maxillary sinus, which has long been the standard path in the treatment of maxillary sinus disease and also has reached the maxillofacial space, orbital, Preoperative anterior cranial fossa and other parts of the surgical approach. In recent years, with the development of endoscopic sinus surgery, the classic way of Cochrane Surgery has changed greatly. It is not necessary to take the living tissue for removal of maxillary polyps or cysts, Land surgery; however, this surgery has not lost its vitality, or an important method for otolaryngologists. Currently, Ke - Lu surgery indications are to deal with the need for extensive exposure of the maxillary sinus cavity lesions, such as: Grave disease malignant exophthalmos orbital decompression to reduce orbital swelling caused by extraocular muscle content, where patients have visual